Dr.Ali Nemati
Surgeon and specialist in neurology, spine and lumbar disc diseases with laser
Please complete the following form and then submit it.
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In which area do you feel pain and where does it radiate to?
Do you have a history of spinal surgery? (Type of surgery, with or without hardware, laser, injection, etc.)
Please provide a full medical history related to your current condition requiring consultation.
Where exactly is the pain located — neck, thoracic, or lower back?
Does the pain radiate to the upper or lower limbs?
How long have you been in pain and what treatments have you tried so far?
Have you consulted another doctor for this problem? What was their diagnosis and treatment?
If you received an MRI download link via SMS, please paste it here.
Please upload your most recent MRI scan as a PDF.
If you have a referral letter from another doctor, please upload a photo of it.
If you have any other relevant scans such as X-rays, nerve conduction studies, bone density tests, etc., please upload them.
